Individual provider Active NPI

Katie Love

  • Occupational Therapist
  • Cedartown, GA
National Provider Identifier
1790841104
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001499 Issued in GA
Practice address
119 E Girard Ave
Cedartown, GA 30125-2711
Phone
(770) 748-4411
Fax
(770) 748-9544
NPI assigned
Dec 29, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT001499 GA Primary

Addresses

Primary practice location

119 E Girard Ave
Cedartown, GA 30125-2711

Mailing address

217 Walnut St
Cedartown, GA 30125-2527
Phone (770) 748-3338

Other practice location 1

212 W 3rd St SW
Rome, GA 30165-2802
Phone (706) 295-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT001499GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Ideas Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790841104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WALNUT ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252527",
            "telephone_number": "770-748-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E GIRARD AVE",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252711",
            "telephone_number": "770-748-4411",
            "fax_number": "770-748-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 W 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301652802",
            "country_code": "US",
            "telephone_number": "706-295-4242",
            "fax_number": "706-295-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.